Shadetree Dermatology LLC
NPI #1366297376 in Cocoa Beach, Florida
Provider Information
- NPI Number
- 1366297376
- Entity Type
- Organization
- Organization Name
- Shadetree Dermatology LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Apr 22, 2024
- Last Updated
- Aug 4, 2024
Practice Location
- Address
- 105 S BANANA RIVER BLVD FL 2
- City
- Cocoa Beach
- State
- Florida
- ZIP Code
- 32931-5041
- Phone
- (321) 200-0346
Authorized Official
- Name
- DR. VANESSA EMILY JOHNSON, MD
- Title
- DERMATOLOGIST (PHYSICIAN)
- Phone
- (321) 200-0346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
Additional Practice Locations
389 Commerce Pkwy Ste 160
Rockledge, FL, 32955-4202
(321) 200-0346
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Donna Marie Yonkosky, M.D., PH.D. | |
| DR. Judith Ellen Crowell, MD | |
| DR. Garry Bruce Gewirtzman, MD | |
| Mark Steven Nestor, M.D. |
Organizations
| Provider Name | |
|---|---|
| Dr. Betsy Leveritt, D.o., |
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